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PHA 109 Exam 2
PMI PHA 109 Exam 2 drugs
17
Pharmacology
Undergraduate 1
09/28/2015

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Term
Urokinase
Definition
an enzyme produced in the kidneys that promotes the conversion of plasminogen to plasmin and can be used to dissolve blood clots. (Thrombolytic)
Term
Verapamil
Definition
(Calcium channel blocker) Inhibits calcium ion entry across cardiac, vascular smooth-muscle cell membranes, dilating coronary arteries, peripheral arteries, arterioles. Decreases heart rate, myocardial contractility; slows SA, AV conduction. Decreases total peripheral vascular resistance by vasodilation. (Antihypertensive, antianginal, antiarrhythmic, hypertrophic cardiomyopathy therapy adjunct)
Term
Propranolol
Definition
Blocks beta1-, beta2-adrenergic receptors. Decreases oxygen requirements. Slows AV conduction, increases refractory period in AV node. Large doses increase airway resistance. Slows heart rate; decreases cardiac output, B/P, myocardial ischemia severity. Exhibits antiarrhythmic activity. (Antihypertensive, antianginal, antiarrhythmic, antimigraine)
Term
Procainamide
Definition
Increases electrical stimulation threshold of ventricles, His-Purkinje system. Decreases myocardial excitability, conduction velocity; depresses myocardial contractility. Exerts direct cardiac effects. Suppresses arrhythmias.(Antiarrhythmic)
Term
Nitroglycerin
Definition
Dilates coronary arteries, improves collateral blood flow to ischemic areas within myocardium. IV form produces peripheral vasodilation. Decreases myocardial oxygen demand. Reduces left ventricular preload, afterload.(Antianginal, antihypertensive, coronary vasodilator)
Term
Nifedipine
Definition
Inhibits calcium ion movement across cell membranes, depressing contraction of cardiac, vascular smooth muscle. Increases heart rate, cardiac output. Decreases systemic vascular resistance, B/P.(Calcium channel blocker; Antianginal, antihypertensive)
Term
Metoprolol
Definition
Selectively blocks beta1-adrenergic receptors; high dosages may block beta2-adrenergic receptors. Decreases oxygen requirements. Large doses increase airway resistanceSlows heart rate, decreases cardiac output, reduces B/P. Decreases myocardial ischemia severity (Beta1-adrenergic blocker; Anti-anginal, antihypertensive, MI adjunct)
Term
Lisinopril
Definition
Suppresses renin-angiotensin-aldosterone system (prevents conversion of angiotensin I to angiotensin II, a potent vasoconstrictor; may inhibit angiotensin II at local vascular, renal sites). Decreases plasma angiotensin II, increases plasma renin activity, decreases aldosterone secretion. Reduces peripheral arterial resistance, B/P (afterload), pulmonary capillary wedge pressure (preload), pulmonary vascular resistance. In those with heart failure, decreases heart size, increases cardiac output, exercise tolerance time.(ACE inhibitor; Antihypertensive)
Term
Lidocaine
Definition
Anesthetic: Inhibits conduction of nerve impulsesCauses temporary loss of feeling/sensation. Antiarrhythmic: Decreases depolarization, automaticity, excitability of ventricle during diastole by direct action. Inhibits ventricular arrhythmias (Amide anesthetic; Antiarrhythmic, anesthetic)
Term
Hydrochlorothiazide
Definition
Diuretic: Blocks reabsorption of water, sodium, potassium at cortical diluting segment of distal tubule. Antihypertensive: Reduces plasma, extracellular fluid volume, peripheral vascular resistance by direct effect on blood vessels. Promotes diuresis; reduces B/P (Thiazide diuretic, antihypertensive)
Term
Furosemide
Definition
Enhances excretion of sodium, chloride, potassium by direct action at ascending limb of loop of Henle. Produces diuresis, lowers B/P (Loop diuretic; Diuretic)
Term
Atenolol
Definition
Blocks beta1-adrenergic receptors in cardiac tissueSlows sinus node heart rate, decreasing cardiac output, B/P. Decreases myocardial oxygen demand(Beta1-adrenergic blocker; Antihypertensive, antianginal, antiarrhythmic)
Term
Bumetanide
Definition
Enhances excretion of sodium, chloride, and, to lesser degree, potassium, by direct action at ascending limb of loop of Henle and in proximal tubule. Produces diuresis.(Loop diuretic; Diuretic)
Term
Captopril
Definition
Suppresses renin-angiotensin-aldosterone system (prevents conversion of angiotensin I to angiotensin II, a potent vasoconstrictor; may inhibit angiotensin II at local vascular and renal sites). Decreases plasma angiotensin II, increases plasma renin activity, decreases aldosterone secretion. Reduces peripheral arterial resistance, pulmonary capillary wedge pressure; improves cardiac output, exercise tolerance (Angiotensin-converting enzyme (ACE) inhibitor; Antihypertensive, vasodilator)
Term
Chlorothiazide
Definition
Chlorothiazide affects the distal renal tubular mechanism of electrolyte reabsorption (thiazide diuretic; hypertensive)
Term
Diltiazem
Definition
Inhibits calcium movement across cardiac, vascular smooth-muscle cell membranes (causes dilation of coronary arteries, peripheral arteries, arterioles).  Decreases heart rate, myocardial contractility; slows SA, AV conduction; decreases total peripheral vascular resistance by vasodilation (Calcium channel blocker; Antianginal, antihypertensive, antiarrhythmic)
Term
Disopyramide
Definition
Antiarrhythmic
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